David Louis Keller, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G77409 Issued in CA

Practice address

1948 Rolling Vista Dr
Lomita, CA 90717-3769

Phone

(310) 896-5435

Fax

(888) 313-1539

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1356393656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1172",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907175172",
            "telephone_number": "310-906-0651",
            "fax_number": "888-313-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 ROLLING VISTA DR",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907173769",
            "telephone_number": "310-896-5435",
            "fax_number": "888-313-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "DAVID",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G77409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rolando Maravilla Justiniani, BACHELOR OF SCIENCE
• Kanamee Home Healthcare Services
• Sarah Kang
• Susan J Kaspian, O.D.
• Yuko Kehoe, D.C.
• Amir Khan, PHARM.D.
• Kaleem Assadullah Khan, MD
• Andrew Taeho Kim
• Esther Jeong Kim
• Jiyeon J Kim, DMD

• Internal Medicine Physician in Lomita, CA
• Providers in Lomita, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.